The invention provides an emergency rescue vehicle driving optimization method driven by an intelligent Internet of Vehicles, and the method comprises the steps: 1, an optimal driving path of an emergency rescue vehicle is selected, the full consideration is carried out, the length of a road, the average passing time and the driving speed of the emergency rescue vehicle are weighed, and the weightis calculated; secondly, the driving path of the emergency rescue vehicle is optimized and perfected; when the emergency rescue vehicle runs to a traffic intersection, a motor vehicle signal lamp passing priority guarantee scheme is implemented for the emergency rescue vehicle, smooth passing of the emergency rescue vehicle at the traffic intersection is guaranteed, meanwhile, in the running process of the emergency rescue vehicle, other vehicles can take corresponding avoiding measures, the influence on the emergency rescue vehicle is reduced, and the road passing priority of the emergency rescue vehicle is guaranteed. According to the invention, the smooth driving of the emergency rescue vehicle is ensured, the delay caused by traffic jam is avoided, the time for the emergency rescue vehicle to arrive at a rescue site is reduced, and various losses caused by untimely rescue can be greatly reduced.